Carol Renea Kerby, PHARMD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PD08624 Issued in AR

Practice address

600 W Main St
Heber Springs, AR 72543-2920

Phone

(501) 302-6010

Fax

(501) 206-0335

NPI assigned

Sep 28, 2021

Last updated

Sep 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1366114498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W MAIN ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725432920",
            "telephone_number": "501-302-6010",
            "fax_number": "501-206-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W MAIN ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725432920",
            "telephone_number": "501-302-6010",
            "fax_number": "501-206-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBY",
        "first_name": "CAROL",
        "middle_name": "RENEA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "PD08624",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "PD08624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Johnson
• Joseph B Sugg, O.D., P.a. (Bailey Vision Clinic)
• Amy Julian, MD
• Seth Daniel Justice, MD
• Kristie Kelso-Welsh
• Karen Ann Krug, MA
• Kent Michael Krug, DC, MSN, FNP-BC, NPC
• Lake Town Wellness Limited
• Lakeshore Dental
• James R Landry, M.D.,

• Community/Retail Pharmacy in Heber Springs, AR
• Providers in Heber Springs, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.